Archived: Grays Fair Court

Updated 1 November 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 17 October 2018 and was unannounced. It was carried out by two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form the provider completes to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made the judgements in this report. We also reviewed other information that we held about the service as notifications (events which happened in the service that the provider is required to tell us about) and information that had been sent to us by other agencies.

As part of the inspection visit, we looked at four care plans, two in the housing with care service and two in the respite service, and a sample of medicines administration records (MAR) in the respite service, in detail. We spoke with four people using the service, including one who received the housing with care service and three people receiving respite care. We spoke with five members of staff including the deputy manager of the respite service, the deputy manager of the housing with care, a domestic staff member, agency care worker, a team leader and a care staff member. In addition, we briefly spoke with a visiting healthcare professional. We also observed interactions and support delivered within communal areas of the service throughout our inspection visit. We looked at other records such as the staff rota, staff training, and records relating to the management of the service including audits and policies.

Updated 1 November 2018

Grays Fair Court is registered to provide care and accommodation for to 20 older people needing respite care. It also provides care and support to people living in their own homes located on the site.

We inspected the service on 17 October 2018. The inspection was unannounced. At the time of our inspection visit, there were 15 people staying in the respite service, and there were 34 people who were tenants in housing with care. 27 of these people received personal care from the housing with care team.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager had been registered on 19 June 2018, and they were not in attendance when we inspected the service because they were on leave.

At our last inspection we rated the service, ‘Good’. At this inspection, we found the evidence continued to support the rating of, ‘Good’, and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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The service was safe as risks to people were identified and mitigated. Where there were additional risks to people associated with their health conditions, there was not always detailed guidance in place for staff. However, further care plans were put in place for these immediately.

Staff were aware of their safeguarding responsibilities and had training in this area. There were enough staff to keep people safe, and they were recruited safely. Staff administered medicines as they had been prescribed. Where areas for learning and improvement were identified through incidents or errors, these were acted upon.

Preassessments established people’s care needs and preferences, and these were used to build a care plan with guidance for staff on how to meet people’s needs. People were supported to eat and drink enough, and to access healthcare when they needed. Staff worked closely with healthcare professionals to ensure people received comprehensive, consistent care.

CQC is required by law to monitor how a provider applies the Mental Capacity Act 2005 (MCA) and to report on what we find. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff asked people for consent before delivering care.

Staff supported people to maintain and increase their independence, and treated people with respect and dignity. Staff respected people’s privacy and carried out support in a kind and caring way.

There were detailed care plans in place with guidance for staff, and they met people’s needs in line with these plans. People were supported to received care when, and how, they wished. People felt confident to raise any concerns with staff should they have any.

There were robust systems in place for monitoring the quality of the service and ensuring the service kept improving. These included systems for gaining feedback on the service, audits and action plans.

Further information is in the detailed findings below.